Is it pratical to dilute the blood with saline to avoid clog during the whole course of Hemodialysis?

My friend had a fistula made yesterday and found his left arm swelling today and his temperature is 37.2 degrees C this eveninig. and also his left arm is sore. This morning, he went to have dialysis using his old access in the neck. He was not given EPO to abate the clog in his blood, he was given saline instead, totally 2 bags.


He feels his heart stuffy and full. Whether he can continue using saline to dilute his blood for the purpose of avoiding clogs in his blood while dialysis is going ? Is there any risk to abate clog like this?

Is it pratical to dilute the blood with saline to avoid clog during the whole course of Hemodialysis?
It is perfectly fine to use no heparin during dialysis if medically warranted. Thus, normal saline flushes every 30 min's is needed to keep the system ( dialyzer/lines ) from clotting. The amount every 30 min's depends on the protocol/policy of the clinic. Two bags ( assuming these are your typical 1 L. bags ) does seem excessive. Yet, I wasn't the nurse taking care of your friend. The extra fluid should be calculated into the fluid removal goal, thus the extra fluid given as flushes won't be a problem. The swelling, soreness is not unusual. I'd keep an eye on the temperature, yet if the surgery was just a day before, unlikely it is the fistula surgery , it takes days for a 'break' in surgery %26amp; contamination to cause infection. The access won't be used immediately, someone should have explained this. The access in his neck will be used until the swelling is down %26amp; healing is finished. 2 weeks to one month. Of course the nephrologist or surgeon needs to OK the use. Hope this helped :)
Reply:I'm not sure I completely understand your question. We use to use Heparin to keep the blood from clotting during dialysis. yes we gave NACL too.. we would bolis it if the patients blood pressure dropped. the problem with giving excess fluids, such as NACL is that the kidneys cant process the fluid out, in most case. And Dialysis pptients are usually on fluid restrictions.. So I dont know why they would give your friend 2 bags of fluid. That would make him retain fluid, thus making his chest feel full and possibly hard to breath. Sounds like he may have an infection brewing at tthe site of his new graft. But you cant access a new gratf right after surgery anyway. Hope this helped.



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